Airway Management with Reinforced Laryngeal in Mask Airway in a Child with Hypoplastic Left Heart Syndrome

좌심실형성부전증후군 환아의 치과치료를 위한 전신마취 시 강화 후두마스크를 이용한 기도 유지

  • Kim, Kyung Jin (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Shin, Teo-Jeon (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Hyun, Hong-Keun (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Kim, Young-Jae (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Kim, Jung-Wook (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Jang, Ki-Taeg (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Lee, Sang-Hoon (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Kim, Chong-Chul (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Seo, Kwang-Suk (Department of Dental Anesthesiology, Seoul National University Dental Hospital)
  • 김경진 (서울대학교 치의학대학원 소아치과학교실) ;
  • 신터전 (서울대학교 치의학대학원 소아치과학교실) ;
  • 현홍근 (서울대학교 치의학대학원 소아치과학교실) ;
  • 김영재 (서울대학교 치의학대학원 소아치과학교실) ;
  • 김정욱 (서울대학교 치의학대학원 소아치과학교실) ;
  • 장기택 (서울대학교 치의학대학원 소아치과학교실) ;
  • 이상훈 (서울대학교 치의학대학원 소아치과학교실) ;
  • 김종철 (서울대학교 치의학대학원 소아치과학교실) ;
  • 서광석 (서울대학교 치의학대학원 치과마취과학교실)
  • Received : 2013.11.29
  • Accepted : 2013.12.13
  • Published : 2013.12.31

Abstract

Despite the laryngeal mask airway (LMA) has been widely used in anesthesia, its use is rare in the field of dentistry. Placing LMA in the oral cavity may interrupt dental treatment. However, there are some circumstances in which LMA is more advantageous than tracheal intubation for managing the airway. Especially, the reinforced LMA has a flexible tube shaft, rendering it more accessible for dental treatment. We report a case of dental treatment of a 3-year-old patient with hypoplastic left heart syndrome combined with pulmonary hypertension using reinforced LMA for airway management under general anesthesia. We also discuss the considerations of utilizing the reinforced LMA for dental treatment.

Keywords

References

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